10-0751 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
10-00000751'
-Property Address:
56965 MERION
APN:
762-031-004- - -
Application description:
POOL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
11590
T,i`
!t 4
BUILDING & SAFETY DEPARTMENT .
BUILDING PERMIT
Applicant: Architect or Engineer:
-------------------------------------
LICENSED CONTRACTOR'S LARATION
I hereby affirm under penalty of perjury that I am licensed nder provi o of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Profess' als Co n my License is in full force and effect.
License Class: C53 Lice1 614611
ate: ..................
. ntractor:
�fexssi:ons
-BUILDER DECLARATION
I hereby affirm under penalty of perjury that ER from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business an Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500):
(_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and.
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
SCHENKLE
56-965 MERION
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/11/10
Contractor:
MCINTYRE POOLS & SPAS, INC.
83695 AVENUE 45 r�"",{,�-
INDIO, CA 92201 jl f� r
(760) 342-3612
LiC. No.: 614611 iJJ
2011 e
- - - - - - - - - - - - - - - - - - - - - - - -I - - - - 'r'\ -:-1-.r .: ':' M I,% -
,.
WORKER'S COMPENSA�N'�ECIIOCJ'-:
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have.and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier GOLDEN INS Policy Number 2010010139097Z
I certify that, in the performance of the work f r which t ' rmit is issued, I shall not employ any
person in any manner so as to becomes ject to th w kers' compensation laws of California,
and agree that, if I, should become subj t to the -peers' compensation provisions of Section
37 0 of the Labor Code, I shall forth h co ith those provisions.
atU e: W Appl' nt:
WARNING: FAILU TURE WOERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnity and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission ated to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void ' work is not commenced
within 180 days from date of issuance of such permi or cessation work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the abov mformati n ' correct. I agree to comply with all
city and county ordinances and state laws relating to building nstru , nd hereby authorize representatives
of this county to enter upon above-mentioned property fo inspe n urposes.
D� � ignature (Applicant or Agent):
Application Number . . . . . 10-00000751
Permit . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . • 135.00 Plan Check Fee 87.75
Issue Date . . . . Valuation . . . . 11590
Expiration Date 2/07/11
Qty Unit Charge Per Extension
BASE FEE 45.00
10.00 9.0000 THOU BLDG 2,001-25,000 90.00
----------------------------------------------------------------------------
Permit . . . MECH POOL
Additional desc . .
Permit Fee 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 2/07/11
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11..00
----------------------------------------------------------------------------
Permit . . . ELEC POOL PERMIT -RES
Additional desc . .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 2/07/11
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
------------------------------------ ---------------------------------------
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 27.00 Plan Check Fee 6.75
Issue Date . . . . Valuation . . . . 0
Expiration Date 2/07/11
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 6.0000 EA PLB FIXTURE 6.00
1.00 3.0000 EA . PLB WATER INST/ALT/REP 3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00
----------------------------------------------------------------------------
Special Notes and Comments
SPA WITH ATTACHED FIREPIT.
LQPERMIT
Application Number . . . . . 10-00000751
-----------------------------------------------------------------7----------
Special Notes and Comments
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED. 2007 CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
---------------------------
Credited
Due
----------
Permit Fee Total 233.00
.00
--------------------
.00
233.00
Plan Check Total 112.25
.00
.00
112.25
Other Fee Total i.00
.00
.00
1.00
Grand Total 346.25
.00
.00
346.25.
LQPERMIT
Bin #
City d a Quinta ..
;Building u Safety -Division '
P.O. Box 1504, 78-495 Calle Tampico
La Quilita, CA 92253 -'(7¢0) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�. `.
' � D
Project Address:' Coi
Owner's Name:
A. P. Number:
Address:. s� _ - Don. _ .n .
Legal Description:
Contractor:A
1'� 1s
City, ST, Zip: cJ °
Telephone:
2 Z O 5-
Address: U_ S
45 ._
Project Description:. m
City, ST, Zip: _�Q✓ d °O12
Telephone:
State Lie. # :
City Lic. #:.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair
Demo
Name of Contact Person:
e 1'
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 760 2 SO. — (9 Z
.Estimated Value.oM. oject: S
APPLICANT: DO NOT WRITE BELOW THIS LINE .
#
Submittal
Req'd
Recd
TRACMG _
PEItiVIIT FEES '
Plan Sets
Plan Check submitted
g
`Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs,
Plans picked up
Construction
Flood plain plan,
Plans resubmitted
Mechanical'
Grading plan .
r' Review, ready for correctioWissue
Electrical
Subcontactor-List
Called'Contact Person
Plumbing
Grant Deed
Plans, picked up
SALL
IELO.A. Approval
Plans resubmitted
Grading.
IN ROUSE:
''" Review, ready for correttiong/issue
Developer Impact Fee
Planning Approval '
Called Contact Person
A.LP.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
Total Permit Fees
I
I
_. II ..__.. . ,._t.._..._.�_� ._v._�.::.
--- - ----
- - - - - - -
Address X9&5 Herion
Address
Owner
Sunrise Company
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailin
Address42-600 Cook Street Suite 200
City Zip Tel.
Palm Desert 9221 1 568-2828
Contract8oatii)r1a1 Mortgage b Lund
Address
Same
State Lic. I City
& Classif. 288130 Lic. # 398
Arch., Engr.,
Designer
Address Tel.
City IZip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) t. of Division 3 of the Business and Professions Code, and my license is in full force and
effec
_SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Buskiess and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repay any structure, prior to 8s issuance also
requires the applicant for such permit to fie a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civilpenally of rat more than live hundred dollars (5500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The ContractWs License Law does not apply to an owner or property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or Improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who buir& or inproves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec_ R. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
O Copy is filed with the city. ❑ Certified copy is hereby fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the perm is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT. ff, after maki g this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this perm slab be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Choi Code.)
Lender's Name
Lender's Address
This is a building permit when property Tilled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes
IV
�5
No. €37245
5 f�"
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number PGA
Legal Description Tract 2"" 1
Project Description Phase Sit — Plan H3B
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE -INSPECTOR 2/28/90 Permit Issued by: Date Permit
Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
Sq. Ft. 2893
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
$214,923
PERMIT
AMOUNT
Plan Chk. Dep.
_
Plan Chk. Bal.
$ • to
Const.
110412.0-
A
Mech.
•++'
Electrical
tJ 2.•71
Plumbing
ice•
S.M.I.
•
Grading
Driveway Enc.
Infrastructure
� =`�A •M
A
111f ra Due
TOTAL
.►sem
C ` f ~,
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE -INSPECTOR 2/28/90 Permit Issued by: Date Permit
Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL, AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. Sp. FT.
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. Sp. FT. ®
ROUGH WIRING
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
�AS(ROUGH)�/�
nn
.��
DRAINAGE PIPING
CAR P. I SO. FT. ®
HEATING(FINAL)
OTHER APPJEQUIP.
WALL Sp. FT.
GAS (FINAL)
DRINKING FOUNTAIN.
TEMP. POLE
URINAL
SO. FT. ®
GROUT
WATER HEATER
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
FIREPLACE
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
OUND PLUM N
UNDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND.REINF.32q_�/ a
�AS(ROUGH)�/�
nn
.��
METER LOOP
HEATING(FINAL)
OTHER APPJEQUIP.
7ZREINF. STEEL -vv G1.�
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ —plus—x$—=$
LUMBER GRR.���`
FINAL INSP. _
FRAMING ! .l
FINAL INSP.
/ OOFING —��
/
('
Qj \ , '/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
y4LATHING '
MESH
O INSULATION/SOUND, �d
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
�
GARDEN WALL FINAL